Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Connie Louise Wadham, LMT, LMSW

Individual provider Massage Therapist · NPI 1700665254

Connie Louise Wadham, LMT, LMSW is a Massage Therapist in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3613 Williams Dr Ste 304
Georgetown, TX 78628-1369
Phone: (512) 400-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 68854 (TX)
Massage Therapist Taxonomy 225700000X · Licence MT025785 (TX)

Record details

NPI number1700665254
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , LMSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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